BERT LILLEEN CARE HOME

967 ZEPHYR LANE, Vacaville CA 95687

Facility 486801175 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Nov 18, 2025Licensed

Additional info
Licensee
SADDI, LILIA
Administrator
EILEEN SADDI
Contact
EILEEN SADDI
License first date
Jan 17, 2003
License effective date
Jan 17, 2003
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 7 Type B deficiencies for this facility.

Most recent inspection
Nov 18, 2025
Most recent deficiency
Nov 18, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 147 Solano County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 8 reports for this facility: 8 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 7 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
8

More than the typical 5

2 in the last 12 months

Recorded deficiencies
8

Well above the typical 1

4 in the last 12 months

Type A deficiencies
1

Most this size have none

1 in the last 12 months

Type B deficiencies
7

Well above the typical 1

3 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Records and plan of operationType B
Official classification
Type B
Official code
87506(a)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, the licensee did not comply with the section cited above in that missing Needs and Service Plan for R2 and R3, Missing Personal Rights (LIC613C) for R3 and missing Medical Consent Form (LIC627C) for R3 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/02/2025 Plan of Correction Licensee to submit proof of all forms by Plan of Correction Date 12/02/2025

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Resident rightsType B
Official classification
Type B
Official code
87468(a)(1)
Regulation authority
CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents...to have reasonable level of personal privacy in accomodations...personal care and assistance,visits, communications, telephhone conversations...and meetings or residents and family groups. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and licensee observation and interview , the licensee did not comply with the section cited above in that two resident bedrooms was observed to have camereras with video and recording audio without CCL waiver exception which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/14/2025 Plan of Correction Facility to remove cameras and audio from rooms immediately and submit pictures by 11/14/25. Licensee to submit waiver request to CCL with updated admisson agreement for permisson to grant video surveillance by the resident or legally authorized representative if they wish to continue video survaillance in resident rooms. * Eval Manual 2-5800 Guidelines for Use of Video Surveillance

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that cough medication including Delsym and Chest Congestion Relief found on top of kitchen counter sink. Box of expired medications found in garage not locked or centrally stored which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/14/2025 Plan of Correction Licensee to remove medication and centrally secure. Facility to submit LIC9098 self-certifying that all medications will be stored inaccessible to residents in care by plan or correction due date 11/14/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Background checksType B
Official classification
Type B
Official code
87355(e)(3)
Regulation authority
CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and licensee record review the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/17/2025 Plan of Correction Licensee or Administrator will submit to Community Care Licensing (CCL) proof that staff member S1 has been asscociated to the facility roster in the Guardian System to CCL by POC Due Date of 11/17/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in ensuring facility maintains proof of the required first aid training in each staff record which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2025 Plan of Correction Licensee agrees to submit proof of first aid training for each staff member to CCL by POC due date 4/11/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(c)(1)(A)
Regulation authority
CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in ensuring facility maintains proof of negative TB results for each resident in care which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2025 Plan of Correction Licensee agrees to submit proof of negative TB results for R1 to CCL by POC due date 4/18/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(c)
Regulation authority
CCR

What the official deficiency says

Personnel Records 87412(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in ensuring facility maintains valid proof of completion of the required training hours for each staff member which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2025 Plan of Correction Licensee to submit proof of completed training hours for each staff member to CCL by POC due date of 4/18/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Basic services and supervisionType B
Official classification
Type B
Official code
87219(a)(1)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include: (1) Socialization, achieved through activities such as group discussion and conversation, recreation, arts, crafts, music, and care of pets. Deficient Practice Statement Based on observation, record review and interview, the licensee did not comply with the section cited above in 3 out of 3 residents have no planned activities which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2024 Plan of Correction Administrator will create a calendar of planned activities for the residents in care. Administrator will email LPA Benson a copy of calendar by 2-5-24.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology